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General NPI Number Information
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NPI Number | 1982133435
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Entity Type | Individual
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Provider Name | KEERAT DHATT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 6505 S MANTHEY RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9518
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Country | US
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Telephone | 209-946-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 5274 TUDOR ROSE GLN
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City | STOCKTON
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State | CA
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Zip | 95212-9272
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A170252
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License Number State | CA
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